Application Form

Name of Candidate Suraj Kumar
911012480299

Student Photo Not Available
Mother's Name Saroj Devi
Father's Name Sanjay Saw
Date of Birth * 02-Sep-2003
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Ghar-Chhoti chhariyari, Post-Chhoti Chhariyari, Tharthari, Nalanda, Bihar-803120
Mobile No. 8252507794
Email Address surajkumar0209k@gmail.com

Course Details

Course Name /Code Certificate In Computer Typing (CT)
Course Duration 6 Months

Center Details

Center Code 91101248
Center Name Drishti Computer Institute
Center Address Quamruddin Ganj,Bihar Sharif
Decleration

I hereby declared that all the informations are correct and true to the best of my knowledge and belief.

Place: _______________

Date : _______________
Authorized Signatory